Individual provider · Type 1 NPI
Jill Kennedy, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Massena, NY
NPI number
1275904419
Active
Practice location
16 Phillips St
Massena, NY 13662-2016
Fax (315) 764-8079
Mailing address
PO Box 608
Malone, NY 12953-0608
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 541605 (NY) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 403653 (NY) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1275904419
Jill Kennedy, PMHNP-BC's National Provider Identifier is 1275904419, issued on Oct 14, 2015. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Massena, NY. The record was last updated on Aug 21, 2024.